Aircraft proximity event between a Piper PA-44, VH-TYS and a Cessna 172S, VH-EUH 1 km NW Point Cook Aerodrome, Victoria, 19 March 2013 ATSB Transport Safety Report Aviation Occurrence Investigation AO-2013-056 Final – 28 June 2013 Released in accordance with section 25 of the Transport Safety Investigation Act 2003 Publishing information Published by: Postal address: Office: Telephone: Facsimile: Email: Internet: Australian Transport Safety Bureau PO Box 967, Civic Square ACT 2608 62 Northbourne Avenue Canberra, Australian Capital Territory 2601 1800 020 616, from overseas +61 2 6257 4150 (24 hours) Accident and incident notification: 1800 011 034 (24 hours) 02 6247 3117, from overseas +61 2 6247 3117 atsbinfo@atsb.gov.au www.atsb.gov.au © Commonwealth of Australia 2013 Ownership of intellectual property rights in this publication Unless otherwise noted, copyright (and any other intellectual property rights, if any) in this publication is owned by the Commonwealth of Australia. 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Addendum Page Change Date ATSB – AO-2013-056 Aircraft proximity event between a Piper PA-44, VH-TYS and a Cessna 172S, VH-EUH What happened Point Cook aerodrome 1 On 19 March 2013 at about 1016 Eastern Daylight-saving Time, the pilot of a Cessna 172S aircraft, registered VH-EUH (EUH), made a 10 NM inbound broadcast on the Point Cook common traffic advisory frequency (CTAF) abeam Station Pier, a visual flight rules (VFR) reporting point south of Melbourne. In the broadcast, the pilot advised that he intended to track overhead Point Cook for Avalon at 2,500 ft. At about the same time, a Piper PA-44-180 aircraft, registered VH-TYS (TYS), became airborne at Point Cook, for an instrument flight rules (IFR) training flight. Source: Airservices Australia The pilot of EUH reported monitoring both the Point Cook CTAF and Melbourne Centre frequency and remembered hearing broadcasts on the CTAF, specifically one from an aircraft lining up. Although he reported seeing an aircraft airborne over the runway at Point Cook, he did not remember hearing a departure broadcast. The pilot under training of TYS was flying under the hood2 and the instructing pilot was making all radio calls to Melbourne Centre and broadcasts on the CTAF. The flight crew of TYS did not hear the 10 NM CTAF broadcast made by EUH. As TYS tracked southbound about 3 NM east of Point Cook and passing about 2,000 ft on climb to 3,000 ft, the instructing pilot deselected the CTAF as the aircraft would shortly be entering controlled airspace. The pilot flying then turned right to track in a northerly direction, in anticipation of an airways clearance to enter Melbourne controlled airspace. At about the same time, as EUH passed abeam Point Cook to the north-west, the pilot broadcast that he was leaving 2,500 ft for 4,500 ft. At 1022, as TYS was levelling off at 3,000 ft about 1 NM west of Point Cook, the instructing pilot looked to the right and observed a C172 in their 2 o’clock position about 100 m away at the same level (Figure 1). He called ‘taking over’ and immediately pushed the control column forward to descend below the traffic. The C172 flew about 50 to 100 ft above and about 9 to 12 m behind TYS. The instructing pilot then climbed the aircraft to 3,000 ft and the flight continued with no further incident. While the incident was recorded on Airservices Australia radar system, the incident occurred outside of controlled airspace. The lower limit for controlled airspace was 4,500 ft. The pilot of EUH reported that he did not see TYS. A pilot of another aircraft operating in the Point Cook circuit at the time reported hearing a broadcast by EUH on the CTAF. 1 2 Eastern Daylight-saving Time (EDT) was Coordinated Universal Time (UTC) + 11 hours. Under the hood – instrument flight training in which the student is prevented from seeing outside the aircraft. ›1‹ ATSB – AO-2013-056 Figure 1: Aircraft positions at 1022, lateral distance 0.4 NM and reducing Source: Airservices Australia Safety message The ATSB often receives reports from pilots that another aircraft is flying too close to them in uncontrolled airspace. Three quarters of these reports involve pilots flying within 10 NM of a nontowered aerodrome. As a result, the ATSB has highlighted safety around non-towered aerodromes as one of its SafetyWatch priorities. The ATSB publication A pilot’s guide to staying safe in the vicinity of non-towered aerodromes, AR-2008-044(1), noted that over 200 occurrences between 2003 and 2008 were found where pilots flying within 10 NM of a non-towered aerodrome may not have been broadcasting or maintaining a continuous listening watch on the CTAF. Broadcasting on and monitoring the CTAF are key ways for pilots to establish traffic awareness, in the vicinity of non-towered aerodromes. The ATSB’s Limitation of the see-and-avoid principle study has shown that the effectiveness of a search for other traffic is eight times greater under alerted see-and-avoid circumstances, when a radio is used effectively in combination with a visual lookout, than when just un-alerted, when no radio is used. The following ATSB publications provide additional information: SafetyWatch: Safety around non-towered aerodromes www.atsb.gov.au/safetywatch/safety-around-aeros.aspx A pilot’s guide to staying safe in the vicinity of non-towered aerodromes, AR-2008-044 (1) www.atsb.gov.au/publications/2008/ar-2008-044(1).aspx ›2‹ ATSB – AO-2013-056 Limitation of the see-and-avoid principle www.atsb.gov.au/publications/1991/limit_see_avoid.aspx General details Occurrence details Primary occurrence type: Airprox Occurrence category: Serious incident Location: 1 km NW Point Cook Aerodrome, Victoria Latitude: 37° 55.60' Longitude: 144° 44.28' Piper Aircraft Corporation PA-44-180 Manufacturer and model: Piper Aircraft Corporation PA-44-180 Registration: VH-TYS Type of operation: Flight training Persons on board: Crew – 2 Passengers – 0 Injuries: Crew – Nil Passengers – Nil Damage: Nil Cessna Aircraft Company 172S Manufacturer and model: Cessna Aircraft Company 172S Registration: VH-EUH Type of operation: Flying training Persons on board: Crew – 1 Passengers – 0 Injuries: Crew – Nil Passengers – Nil Damage: Nil ›3‹ ATSB – AO-2013-056 About the ATSB The Australian Transport Safety Bureau (ATSB) is an independent Commonwealth Government statutory agency. The Bureau is governed by a Commission and is entirely separate from transport regulators, policy makers and service providers. The ATSB's function is to improve safety and public confidence in the aviation, marine and rail modes of transport through excellence in: independent investigation of transport accidents and other safety occurrences; safety data recording, analysis and research; and fostering safety awareness, knowledge and action. The ATSB is responsible for investigating accidents and other transport safety matters involving civil aviation, marine and rail operations in Australia that fall within Commonwealth jurisdiction, as well as participating in overseas investigations involving Australian registered aircraft and ships. A primary concern is the safety of commercial transport, with particular regard to fare-paying passenger operations. The ATSB performs its functions in accordance with the provisions of the Transport Safety Investigation Act 2003 and Regulations and, where applicable, relevant international agreements. The object of a safety investigation is to identify and reduce safety-related risk. ATSB investigations determine and communicate the safety factors related to the transport safety matter being investigated. It is not a function of the ATSB to apportion blame or determine liability. At the same time, an investigation report must include factual material of sufficient weight to support the analysis and findings. At all times the ATSB endeavours to balance the use of material that could imply adverse comment with the need to properly explain what happened, and why, in a fair and unbiased manner. About this report Decisions regarding whether to conduct an investigation, and the scope of an investigation, are based on many factors, including the level of safety benefit likely to be obtained from an investigation. For this occurrence, a limited-scope, fact-gathering investigation was conducted in order to produce a short summary report, and allow for greater industry awareness of potential safety issues and possible safety actions. ›4‹